Changing Attitudes and Practices in Forgoing Life-Sustaining Treatments
Sprung, Charles L.
JAMA. 1990 Apr 25; 263(16): 2211-2215.
Sprung reviews the changes in medical practice and attitudes over the past two decades toward the care of patients who are dying, in a persistent vegetative state, or who refuse life-sustaining treatment. He is concerned also with court decisions that equate artificial feeding and intravenous fluids with medical procedures that may be administered or withheld according to the benefits and burdens to the patient. Sprung believes that these practical, attitudinal, and legal changes eventually will lead to the acceptance of active euthanasia in the United States. He concludes his essay with references to the role physicians played in direct medical killing and genocide in Nazi Germany. (KIE abstract)
Active Euthanasia; Allowing to Die; Artificial Feeding; Attitudes; Biomedical Technologies; Brain; Brain Death; Death; Decision Making; Determination of Death; Economics; Euthanasia; Genocide; Judicial Action; Killing; Life; Medicine; Misconduct; Motivation; National Socialism; Organizational Policies; Organizations; Patients; Persistent Vegetative State; Physician's Role; Physicians; Prolongation of Life; Quality of Life; Resource Allocation; Resuscitation; Resuscitation Orders; Review; Socialism; Sociology; Sociology of Medicine; Terminally Ill; Trends; Wedge Argument; Withholding Treatment;
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